Grant Application

Please complete the Grant Application in full, do not leave any blanks. Additional information about your organization that may be helpful in fulfilling your request can be included.

However, it is required to include:

Application
Current W9 Form (Signed & Dated for the Current Year)
A breakdown of how each dollar requested will be used in the program. For example: Supplies, Registration, Bedding, Transportation, etc.
Most recent financial statement
FCT Member Sponsor name

Grant Funding Application

Foothills Club of Tucson Sponsor Name:(Required)

Organization Name:(Required)

Does your organization hold an active 501(c)3 designation with the IRS?(Required)

Yes

Tax ID#(Required)

Has your organization received funding from the Foothills Club of Tucson before?(Required)

Yes

Amount

Date

Program/Service Information

Name of Program/Service for which funding is requested:(Required)

Description of Program/Service for which funding is being requested:(Required)

Program Date(s):(Required)

Number of children who will benefit from this program/service:(Required)

Total cost of Program/Service:(Required)

Total annual fundraising goal:(Required)

Please outline any fees associated with the Program/Service:(Required)

Does the Program/Service utilize volunteers?(Required)

Yes

Will Foothills Club members have an opportunity to participate as volunteers in this Program/Service?(Required)

Yes

Please provide a brief summary of how the funding will be used:(Required)

Organization Information

Full Legal Organization Name:(Required)

Address:(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Website:(Required)

Contact Person:(Required)

First Last

Title:(Required)

Email(Required)

Enter Email Confirm Email

Phone(Required)

Organizational Mission Statement:(Required)

Acknowledgment

Please upload current W9 form signed and dated for the current year:(Required)

Max. file size: 128 MB.

Please upload current financial statement:(Required)

Max. file size: 128 MB.

Sponsor Video

A sponsor/non-profit video is not required, but is encouraged, with your application. This video is shared with the FCT membership for voting and consideration of your grant application.

Max. file size: 128 MB.

Today's Date(Required)

Name of person authorized to submit this application on behalf of the organization:(Required)

First Last

Phone

This field is for validation purposes and should be left unchanged.

Grant Application

Grant Funding Application

Program/Service Information

Organization Information

Acknowledgment

Pages

Our Information